For lactation, the adrenal is an indispensable organ, which has been confirmed in hypophysectomized or adrenalectomized animals. However, the problem of concrete relation between these findings in animals and in humans has not been evidenced.
Values of urogenous 17KGS for the first two days, to the complete functions of hypophysis and adrenal in lactating females, were used as control.
On the next day, 20 units ACTH-Z were injected intramusculary twice a day, or 750mg SU-4885 were administered six times every four hours.
Few's (1961) modification method was adapted for the estimation of urogenous 17-ketogenic steroids (11-oxy-17KGS and 11-deoxy-17KGS).
Result as follows ;
(1) Recovery rate of etiocholanolone, mixed group of Comp-s with 17-α-OH-progesterone and 11-β-0H-etiocholanolone, were 93%, 85% and 86% in chromatography, respectively.
(2) Levels of urogenous 17-KGS are correlative with volumes of lactation, strictly speaking, correlative value is not 11-deoxy-17KGS, but 11-Oxy-17KGS.
Volume of milk yield decreased definitely in both cases, 11-oxy-17KGS increased over the normal range abnormally after injection of ACTH-Z or decreased below the basic value after administration of SU-4885. The amount of milk yield increased remarkably in the case which 11-oxy-17KGS increased slightly.
(3) When ACTH-Z was administered on the 6th day after delivery, average amounts of 17KGS reacted with adrenal were 27.4mg, 26.8mg, 9.3mg and 5.6mg on 1st, 2nd, 3rd, and 4th days after administration, respectively. Value of 5.1mg on the 5th day after delivery was used as the control.
Defective females in lactation were classified into higher and lower groups for the reactivity ; the superior females were in middle group.
When doses of 4.5g SU-4885 were administered on the 6th postpartal day, average amounts of 17KGS were 16.2mg and 25.7mg each on that day and the day following administration, and the control was 4.6mg. Both superior and defective groups in lactation reacted normal by administering ACTH-Z and SU-4885.
The relationship between basic excretion levels of 11-oxy-17KGS on the 5th postpartal day and the amount of milk production is correlative : the superior group showed a large amount of 11-oxy-17KGS, and the defective groups showed a lower amount.
(4) Basic excretion level of 17KGS on the 5th postpartal day was lower than that found in pregnancy, and slightly higher than the maximum in non-pregnancy except puerperium.
This shows that the adrenal is hyperfunctional for lactating. Hypophysis and adrenal are stimulated during suckling and this improves the lactation. Disorder of these cycles may cause a reduction in milk production as well as a decrease in basic 17KGS excretion.
(5) Average amounts of 11-deoxy-17KGS and 11-oxy-17KGS excretion when administered ACTH-Z or SU-4885.
Reagent Day after administration 11-Deoxy-17KGS amount percentage mg % 11-Oxy-17KGS amount percentage mg %
ACTH-Z 0 4.46 9.2 33.8 90.8
1 3.7 12.0 26.8 88.0
SU-4885 0 22.6 83.5 3.9 16.5
1 21.04 75.3 6.83 25.7
Control (5 days after delivery) 1.27 17.6 5.93 82.4
(6) There was no relationship between the liver function and the lactation.
The higher ratio of A/G appeared in the defectives. (Amounts of 17KGS, 11-oxy-17KGS and 11-deoxy-17KGS converted into Dehydroisoandrosterone, Tetrahydrocortisone and pregnantriol, respectively.)
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